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Paycheck Protection ProgramOMB Control Number 3245-0407Expiration Date: 10/31/2020Loan Forgiveness Application Revised June 16, 2020PPP Loan Forgiveness Calculation FormBusiness Legal Name (“Borrower”)DBA or Tradename, if applicableBusiness AddressBusiness TIN (EIN, SSN)Primary Contact(SBA PPP Loan Number:Lender PPP Loan Number:PPP Loan Amount:PPP Loan Disbursement Date:Employees at Time of Loan Application:Employees at Time of Forgiveness Application:EIDL Advance Amount:EIDL Application Number:)Business PhonePayroll Schedule: The frequency with which payroll is paid to employees is: Weekly Biweekly (every other week)Covered Period: Twice a month Monthly OthertoAlternative Payroll Covered Period, if applicable:toIf Borrower (together with affiliates, if applicable) received PPP loans in excess of 2 million, check here: Forgiveness Amount Calculation:Payroll and Nonpayroll CostsLine 1. Payroll Costs (enter the amount from PPP Schedule A, line 10):Line 2. Business Mortgage Interest Payments:Line 3. Business Rent or Lease Payments:Line 4. Business Utility Payments:Adjustments for Full-Time Equivalency (FTE) and Salary/Hourly Wage ReductionsLine 5. Total Salary/Hourly Wage Reduction (enter the amount from PPP Schedule A, line3):Line 6. Add the amounts on lines 1, 2, 3, and 4, then subtract the amount entered in line5:Line 7. FTE Reduction Quotient (enter the number from PPP Schedule A, line13):Potential Forgiveness AmountsLine 8. Modified Total (multiply line 6 by line 7):Line 9. PPP Loan Amount:Line 10. Payroll Cost 60% Requirement (divide line 1 by 0.60):Forgiveness AmountLine 11. Forgiveness Amount (enter the smallest of lines 8, 9, and 10):SBA Form 3508 (06/20)Page 1-E-mail Address

Paycheck Protection ProgramLoan Forgiveness Application Revised June 16, 2020OMB Control Number 3245-0407Expiration Date: 10/31/2020By Signing Below, You Make the Following Representations and Certifications on Behalf of the Borrower:The authorized representative of the Borrower certifies to all of the below by initialing next to each one.The dollar amount for which forgiveness is requested: was used to pay costs that are eligible for forgiveness (payroll costs to retain employees; business mortgage interestpayments; business rent or lease payments; or business utility payments); includes all applicable reductions due to decreases in the number of full-time equivalent employees andsalary/hourly wage reductions; includes payroll costs equal to at least 60% of the forgiveness amount; if a 24-week Covered Period applies, does not exceed 2.5 months’ worth of 2019 compensation for any owneremployee or self-employed individual/general partner, capped at 20,833 per individual; and if the Borrower has elected an 8-week Covered Period, does not exceed 8 weeks’ worth of 2019 compensation forany owner-employee or self-employed individual/general partner, capped at 15,385 per individual.I understand that if the funds were knowingly used for unauthorized purposes, the federal government may pursue recoveryof loan amounts and/or civil or criminal fraud charges.The Borrower has accurately verified the payments for the eligible payroll and nonpayroll costs for which the Borrower isrequesting forgiveness.I have submitted to the Lender the required documentation verifying payroll costs, the existence of obligations and service(as applicable) prior to February 15, 2020, and eligible business mortgage interest payments, business rent or leasepayments, and business utility payments.The information provided in this application and the information provided in all supporting documents and forms is trueand correct in all material respects. I understand that knowingly making a false statement to obtain forgiveness of anSBA-guaranteed loan is punishable under the law, including 18 U.S.C. 1001 and 3571 by imprisonment of not more thanfive years and/or a fine of up to 250,000; under 15 U.S.C. 645 by imprisonment of not more than two years and/or a fineof not more than 5,000; and, if submitted to a Federally insured institution, under 18 U.S.C. 1014 by imprisonment of notmore than thirty years and/or a fine of not more than 1,000,000.The tax documents I have submitted to the Lender are consistent with those the Borrower has submitted/will submitto the IRS and/or state tax or workforce agency. I also understand, acknowledge, and agree that the Lender can sharethe tax information with SBA’s authorized representatives, including authorized representatives of the SBA Office ofInspector General, for the purpose of ensuring compliance with PPP requirements and all SBAreviews.I understand, acknowledge, and agree that SBA may request additional information for the purposes of evaluating theBorrower’s eligibility for the PPP loan and for loan forgiveness, and that the Borrower’s failure to provide informationrequested by SBA may result in a determination that the Borrower was ineligible for the PPP loan or a denial of theBorrower’s loan forgiveness application.If the Borrower has checked the box for FTE Reduction Safe Harbor 1 on PPP Schedule A, the Borrower was unableto operate between February 15, 2020 and the end of the Covered Period at the same level of business activity asbefore February 15, 2020 due to compliance with requirements established or guidance issued between March 1, 2020and December 31, 2020, by the Secretary of Health and Human Services, the Director of the Centers for Disease Controland Prevention, or the Occupational Safety and Health Administration, related to the maintenance of standards of sanitation,social distancing, or any other work or customer safety requirement related to COVID-19.The Borrower’s eligibility for loan forgiveness will be evaluated in accordance with the PPP regulations and guidance issued by SBAthrough the date of this application. SBA may direct a lender to disapprove the Borrower’s loan forgiveness application if SBAdetermines that the Borrower was ineligible for the PPP loan.Signature of Authorized Representative of BorrowerDatePrint NameTitleSBA Form 3508 (06/20)Page 2

Paycheck Protection ProgramLoan Forgiveness Application Revised June 16, 2020OMB Control Number 3245-0407Expiration Date: 10/31/2020PPP Schedule APPP Schedule A Worksheet, Table 1 TotalsLine 1. Enter Cash Compensation (Box 1) from PPP Schedule A Worksheet, Table 1:Line 2. Enter Average FTE (Box 2) from PPP Schedule A Worksheet, Table 1:Line 3. Enter Salary/Hourly Wage Reduction (Box 3) from PPP Schedule A Worksheet, Table 1:If the average annual salary or hourly wage for each employee listed on the PPPSchedule A Worksheet, Table 1 during the Covered Period or the Alternative PayrollCovered Period was at least 75% of such employee’s average annual salary or hourlywage between January 1, 2020 and March 31, 2020, check here and enter 0 on line 3.PPP Schedule A Worksheet, Table 2 TotalsLine 4. Enter Cash Compensation (Box 4) from PPP Schedule A Worksheet, Table 2:Line 5. Enter Average FTE (Box 5) from PPP Schedule A Worksheet, Table 2:Non-Cash Compensation Payroll Costs During the Covered Period or the Alternative Payroll Covered PeriodLine 6. Total amount paid or incurred by Borrower for employer contributions for employee health insurance:Line 7. Total amount paid or incurred by Borrower for employer contributions to employee retirement plans:Line 8. Total amount paid or incurred by Borrower for employer state and local taxes assessed on employeecompensation:Compensation to OwnersLine 9. Total amount paid to owner-employees/self-employed individual/general partners:This amount may not be included in PPP Schedule A Worksheet, Table 1 or 2. If there ismore than one individual included, attach a separate table that lists the names of andpayments to each.Total Payroll CostsLine 10. Payroll Costs (add lines 1, 4, 6, 7, 8, and 9):Full-Time Equivalency (FTE) Reduction CalculationIf you satisfy any of the following three criteria, check the appropriate box, skip lines 11 and 12, and enter 1.0 on line 13; otherwise,complete lines 11, 12, and 13:No reduction in employees or average paid hours: If you have not reduced the number of employees or the average paid hours ofyour employees between January 1, 2020 and the end of the Covered Period, check here .FTE Reduction Safe Harbor 1: If you were unable to operate between February 15, 2020, and the end of the Covered Period at thesame level of business activity as before February 15, 2020 due to compliance with requirements established or guidance issuedbetween March 1, 2020 and December 31, 2020, by the Secretary of Health and Human Services, the Director of the Centers for DiseaseControl and Prevention, or the Occupational Safety and Health Administration related to the maintenance of standards for sanitation,social distancing, or any other worker or customer safety requirement related to COVID-19, check here .FTE Reduction Safe Harbor 2: If you satisfy FTE Reduction Safe Harbor 2 (see PPP Schedule A Worksheet), check here .Line 11. Average FTE during the Borrower’s chosen reference period:Line 12. Total Average FTE (add lines 2 and 5):Line 13. FTE Reduction Quotient (divide line 12 by line 11) or enter 1.0 if any of the above criteria aremet:SBA Form 3508 (06/20)Page 3

Paycheck Protection ProgramLoan Forgiveness Application Revised June 16, 2020OMB Control Number 3245-0407Expiration Date: 10/31/2020PPP Schedule A WorksheetTable 1: List employees who: Were employed by the Borrower at any point during the Covered Period or the Alternative Payroll Covered Period whoseprincipal place of residence is in the United States; and Received compensation from the Borrower at an annualized rate of less than or equal to 100,000 for all pay periods in2019 or were not employed by the Borrower at any point in 2019.Employee's NameEmployeeIdentifierCash CompensationAverage FTESalary / Hourly WageReductionFTE Reduction Exceptions:Totals:Box 1Box 2Box 3Table 2: List employees who: Were employed by the Borrower at any point during the Covered Period or the Alternative Payroll Covered Period whoseprincipal place of residence is in the United States; and Received compensation from the Borrower at an annualized rate of more than 100,000 for any pay period in 2019.Employee's NameEmployeeIdentifierTotals:Cash CompensationBox 4Average FTEBox 5Attach additional tables if additional rows are needed.FTE Reduction Safe Harbor 2:Step 1. Enter the borrower’s total average FTE between February 15, 2020 and April 26, 2020. Follow the same method thatwas used to calculate Average FTE in the PPP Schedule A Worksheet Tables. Sum across all employees and enter:.Step 2. Enter the borrower’s total FTE in the Borrower’s pay period inclusive of February 15, 2020. Follow the same methodthat was used in step 1:.Step 3. If the entry for step 2 is greater than step 1, proceed to step 4. Otherwise, FTE Reduction Safe Harbor 2 is notapplicable and the Borrower must complete line 13 of PPP Schedule A by dividing line 12 by line 11 of that schedule.Step 4. Enter the borrower’s total FTE as of the earlier of December 31, 2020, and the date this application is submitted:Step 5. If the entry for step 4 is greater than or equal to step 2, enter 1.0 on line 13 of PPP Schedule A; the FTE Reduction SafeHarbor 2 has been satisfied. Otherwise, FTE Reduction Safe Harbor 2 does not apply and the Borrower must completeline 13 of PPP Schedule A by dividing line 12 by line 11 of that schedule.SBA Form 3508 (06/20)Page 4.